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Atlas of Postmortem Angiography

https://libcat.nshealth.ca/en/permalink/provcat40087
Silke Grabherr, Jochen M. Grimm, Axel Heinemann, editors. --Cham: Springer , c2016.
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This atlas of postmortem angiography provides a summary of techniques that have been developed and used in order to visualize the human vascular system. The indications, advantages, limitations, and pitfalls of the different techniques are explained in detail through the use of examples from real cases and a wealth of informative images, as well as knowledge from the latest scientific works. Helpful recommendations are made concerning interpretation of the obtained radiological images, which wi…
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Other Authors
Grabherr, Silke
Grimm, Jochen M
Heinemann, Axel
Responsibility
Silke Grabherr, Jochen M. Grimm, Axel Heinemann, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xiii, 602 p. : 575 illus., 224 illus. in color)
ISBN
9783319285375
9783319285351 (print ed.)
Subjects (MeSH)
Angiography - methods
Autopsy
Tomography, X-Ray Computed
Abstract
This atlas of postmortem angiography provides a summary of techniques that have been developed and used in order to visualize the human vascular system. The indications, advantages, limitations, and pitfalls of the different techniques are explained in detail through the use of examples from real cases and a wealth of informative images, as well as knowledge from the latest scientific works. Helpful recommendations are made concerning interpretation of the obtained radiological images, which will allow readers to start their own work in the field of post-mortem angiography or to ease and improve their practice. The atlas has been edited and written by members of an international working group created in 2012, "Technical Working Group Post-mortem Angiography Methods" (TWGPAM), who for the first time summarize their experiences concerning this new approach. Since findings explaining the reasons for both natural and traumatic death are often hidden within the vascular system, post-mortem angiography is of the highest importance in elucidating cause of death and may represent the key to minimally invasive autopsy.
Contents
Part I: Introduction: Postmortem Imaging - Development and Historical Review -- PMI: A part of forensic medicine -- PMI: A transdisciplinary approach for objectified knowledge. Part II: Postmortem Angiography: PMA: A historical review -- PMA and the thanatology of the heart-circulation system. Part III: PMA the technical approach: PMA and the Virtangio system -- PMA and CT -- PMA and MRI -- PMA and contrast agent -- PMA and Database and storage. Part IV: PMA - The role of the radiographer: The new profession of forensic radiographer. Part V: Multiphase Postmortem Angiography: Neuro (Head) -- Neck -- Heart -- Vascular system -- Lungs -- Gastro intestinal tract -- Abdominal Organs. Part VI: Post-mortem Angiography of the Extremities: Upper extremities -- Lower extremities. Part VII: In cases of natural death: Sudden cardiac death -- Systemic diseases, sepsis, multi-organ failure -- Other natural death. Part VIII: PMA and trauma: Blunt trauma -- Sharp trauma -- Shot -- Explosion, Thermic trauma -- Suffocation / Strangulation -- Intoxication -- Drowning -- Other traumatic death (Cardio-Inhibitor Reflex, electrocution) -- Post-operative death. Part IX: Special casuistic cases: Forensic radiological diagnosis and reconstruction. Part X: PMA and clinical pathology (non-forensic cases): Heart surgery -- Intensive cardiology -- Intensive care unit -- Emergency medicine. Part XI: PMA special studies: Children -- Decomposition -- Histology & Immuno-Histology -- Intravasal pressures -- Medical malpractice -- Animal model -- Selective angio. Part XII: PMA in Teaching and clinical anatomy: PMA in student teaching -- PMA in clinical anatomy.
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e-Book
Publication Type
Atlas
Case Reports
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Pediatric emergency medicine secrets

https://libcat.nshealth.ca/en/permalink/provcat33475
[edited by] Steven M. Selbst. (3rd ed.) --Philadelphia, PA: Elsevier Saunders , c2015.
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Access concise, yet complete clinical guidance on pediatric emergency care with Pediatric Emergency Medicine Secrets, a bestselling volume in the popular Secrets SeriesĀ®. Ideal for quick review or exam prep, this updated medical reference book is an essential pocket guide covering common and unusual pediatric conditions; the user-friendly Secrets style makes it a valuable addition to your library.
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Other Authors
Selbst, Steven M
Responsibility
[edited by] Steven M. Selbst
Edition
3rd ed.
Alternate Title
Paediatric emergency medicine secrets
Place of Publication
Philadelphia, PA
Publisher
Elsevier Saunders
Date of Publication
c2015
Physical Description
1 online resource, 664 p.
Series Title
Secrets series
ISBN
9780323262842
Subjects (MeSH)
Emergencies - Examination Questions
Emergency Medicine - Examination Questions
Subjects (LCSH)
Emergencies - Examinations, questions, etc
Emergency medicine - Examinations, questions, etc
Child
Emergencies - Examination Questions
Emergency Medicine - Examination Questions
Infant
Abstract
Access concise, yet complete clinical guidance on pediatric emergency care with Pediatric Emergency Medicine Secrets, a bestselling volume in the popular Secrets Series®. Ideal for quick review or exam prep, this updated medical reference book is an essential pocket guide covering common and unusual pediatric conditions; the user-friendly Secrets style makes it a valuable addition to your library.
Contents
Childhood resuscitation -- Neonatal resuscitation -- Respiratory failure -- Shock -- Abdominal pain -- Altered mental status -- Apnea, sudden infant death syndrome, and apparent life-threatening events -- Chest pain -- Cough -- Crying and irritability in the young child -- Diarrhea -- Ear pain -- Fever -- Foreign bodies in children -- Headache -- Hematuria and dysuria -- Hypertension -- Jaundice -- Limp -- Neck masses -- Pediatric rashes -- Red eye -- Scrotal pain -- Sore throat -- Stiff neck -- Stridor -- Syncope -- Vaginal bleeding/discharge -- Vomiting -- Anaphylaxis -- Cardiac emergencies -- Central nervous system emergencies -- Endocrine disorders -- Fluids and electrolytes -- Gastrointestinal emergencies -- Gynecologic emergencies -- Hematologic and oncologic emergencies -- Infectious disease emergencies -- Poisonings -- Psychiatric emergencies -- Respiratory emergencies -- Technology-assisted children-acute care -- Dental/periodontal emergencies -- General surgery emergencies -- Neurosurgical emergencies -- Ophthalmologic emergencies -- Orthopedic emergencies -- Otorhinolaryngology emergencies -- Urologic emergencies -- Abdominal trauma -- Burns and smoke inhalation -- Child abuse -- Dental injuries -- Extremity injuries -- Eye injuries -- Head trauma -- Minor trauma -- Multiple trauma -- Neck and cervical spine trauma -- Pelvic trauma and genitourinary injury -- Pediatric sports injuries -- Thoracic trauma -- Bites and stings -- Drowning -- Electrical and lightning injuries -- Heat-related illness -- Hypothermia -- Chemical and biologic terrorism -- Emergency medical services and prehospital care -- Patient safety in the emergency department -- Risk management and legal issues -- Sedation and analgesia -- Transport medicine.
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Pediatric critical care medicine. Volume 1, Care of the critically ill or injured child

https://libcat.nshealth.ca/en/permalink/provcat33339
Derek S. Wheeler, Hector R. Wong, Thomas P. Shanley, editors. (Second edition) --London: Springer , c2014.
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The Editors and contributors of this book take seriously the statement that 'For all of the science inherent in the specialty of pediatric critical care medicine, there is still art in providing comfort and solace to our patients and their families. No technology will ever replace the compassion in the touch of a hand or the soothing words of a calm and gentle voice.' The four volumes of Pediatric Critical Care Medicine: Basic Science and Clinical Evidence, 2nd Edition detail the continued grow…
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Other Authors
Wheeler, Derek S.
Wong, Hector R.
Shanley, Thomas P.
Responsibility
Derek S. Wheeler, Hector R. Wong, Thomas P. Shanley, editors
Edition
Second edition
Alternate Title
Care of the critically ill or injured child
Place of Publication
London
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xxiv, 771 pages)
ISBN
9781447163626 (electronic bk.)
9781447163619
Subjects (MeSH)
Critical Illness - therapy
Subjects (LCSH)
Pediatric intensive care
MƩdecine
Abstract
The Editors and contributors of this book take seriously the statement that 'For all of the science inherent in the specialty of pediatric critical care medicine, there is still art in providing comfort and solace to our patients and their families. No technology will ever replace the compassion in the touch of a hand or the soothing words of a calm and gentle voice.' The four volumes of Pediatric Critical Care Medicine: Basic Science and Clinical Evidence, 2nd Edition detail the continued growth and evolution of the pediatric critical care medicine speciality. They reveal the technological innovations in monitoring and information management and gives witness to the rapid evolution and adoption of novel monitoring techniques, such as continuous venous oximetry and near-infrared spectroscopy. They also cover advances in molecular biology that have led to the era of personalized medicine with the ability to individualize treatment to the unique and specific needs of a patient. As such this volume and its three sister titles will be of immense value to all studying and practicing pediatric critical care medicine or those involved in the management of this group of patients.
Contents
Part I. The Practice of Pediatric Critical Care Medicine -- Pediatric Critical Care: A Global View -- Pediatric Critical Care and the Law: Medical Malpractice -- Architectural Design of Critical Care Units: A Comparison of Best Practice Units and Design -- PICU Administration -- Nursing Care in the Pediatric Intensive Care Unit -- Scoring Systems in Critical Care -- Pharmacology in the PICU -- Telemedicine in the Pediatric Intensive Care Unit -- Quality Improvement Science in the PICU -- Patient Safety in the PICU -- Outcomes Research in the PICU -- Resident and Nurse Education in Pediatric Intensive Care Unit -- Epidemiology of Critical Illness -- Ethics in the Pediatric Intensive Care Unit: Controversies and Considerations -- Palliative Care in the PICU -- Evidence-based Pediatric Critical Care Medicine -- Simulation Training in Pediatric Critical Care Medicine -- Career Development in Pediatric Critical Care Medicine -- Part II. The Science of Pediatric Critical Care Medicine -- Genetic Polymorphisms in Critical Illness and Injury -- Genomics in Critical Illness -- Signal Transduction Pathways in Critical Illness and Injury -- Pro-inflammatory and Anti-inflammatory Mediators in Critical Illness and Injury -- Oxidative and Nitrosative Stress in Critical Illness and Injury -- Ischemia-Reperfusion Injury -- Part III. Resuscitation, Stabilization, and Transport of the Critically Ill or Injured Child -- Post-resuscitation Care -- Predicting Outcomes Following Resuscitation -- Basic Management of the Pediatric Airway -- Pediatric Difficult Airway Management: Principles and Approach in the Critical Care Environment -- Central Venous Vascular Access -- Shock -- Acute Respiratory Failure -- The Multiply Injured Child -- Coma and Altered Mental Status -- Interfacility Transport -- Multiple Organ Dysfunction Syndrome -- Withdrawal of Life Support -- Brain Death -- The Physiology of Brain Death and Organ Donor Management -- Part IV. Monitoring the Critically Ill or Injured Child -- Respiratory Monitoring -- Hemodynamic Monitoring -- Neurological Monitoring of the Critically-Ill Child -- Nutrition Monitoring in the PICU -- Monitoring Kidney Function in the Pediatric Intensive Care Unit -- Part V. Special Situations in Pediatric Critical Care Medicine -- Principles of Mass Casualty and Disaster Medicine -- Care in an Austere Environment -- Agents of Biological and Chemical Terrorism -- Pandemic Influenza -- Pediatric Drowning -- Heat Illness and Hypothermia -- Toxic Ingestions -- Envenomations.
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e-Book
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Acute pediatric neurology

https://libcat.nshealth.ca/en/permalink/provcat33778
Thomas Sejersen, Ching H. Wang, editors. --London: Springer , c2014.
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This book provides recommendations for evaluation and therapy in the area of acute pediatric neurology; these are presented didactically with frequent use of illustrations and algorithms. Chapters in the first part of the book discuss presenting symptoms of acute neurological conditions. The second part of the book covers major areas of acute pediatric neurology and each of these chapters has three key elements: description of presenting symptoms; recommended assessments; and recommended interv…
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Other Authors
Sejersen, Thomas
Wang, Ching H
Responsibility
Thomas Sejersen, Ching H. Wang, editors
Place of Publication
London
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xvii, 405 pages)
ISBN
9780857294913 (electronic bk.)
9780857294906
Subjects (MeSH)
Acute Disease
Nervous System Diseases - diagnosis
Nervous System Diseases - therapy
Neurologic Manifestations
Subjects (LCSH)
Pediatric neurology
Pediatric emergencies
Pediatric intensive care
Nervous System Diseases
Infant
Child
Adolescent
Critical Care
Emergency Treatment
Neurology
Pediatrics
Emergency medicine
Abstract
This book provides recommendations for evaluation and therapy in the area of acute pediatric neurology; these are presented didactically with frequent use of illustrations and algorithms. Chapters in the first part of the book discuss presenting symptoms of acute neurological conditions. The second part of the book covers major areas of acute pediatric neurology and each of these chapters has three key elements: description of presenting symptoms; recommended assessments; and recommended interventions.
Contents
Part I. Acute Neurological Symptoms -- Unconsciousness, Coma, and Death by Neurological Criteria -- Seizures -- Acute Headache -- Acute Disturbance of Motor Function -- Acute Disturbance of Vision -- Dizziness and Vertigo -- Acute Changes of Behavior and Memory -- Part II. Management of Acute Neurological Conditions -- Ischemic and Hypoxic Insults: Near Drowning, Asphyxia, Carbon Monoxide Poisoning -- Neurometabolic Crisis -- Approach to Childhood-Onset Muscle Cramps, Exercise Intolerance and Recurrent Myoglobinuria -- Management of Seizures and Status Epilepticus -- Management of Increased Intracranial Pressure -- Management of Migraine and Other Headaches -- Central Nervous System Infections (Bacteria and Parasites) -- Management of Acute Neuromuscular Disorders -- Stroke and Cerebrovascular Diseases -- Viral Infections, Autoimmune and Demyelinating Conditions of the Central Nervous System -- Spasticity, Dystonia, and Other Movement Disorders: A Comprehensive Treatment Guide -- Acute Pain.
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e-Book
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Drowning : Prevention, Rescue, Treatment

https://libcat.nshealth.ca/en/permalink/provcat39625
Joost J.L.M. Bierens, editor. (Second edition) --Berlin, Heidelberg: Springer , c2014.
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Since the first edition of the Handbook on Drowning in 2005, many epidemiological data have confirmed the burden of drowning in several parts of the world. Studies have increased the understanding of effective drowning prevention strategies, rescue techniques, and treatment options. Much has been learned about submersion and immersion hypothermia, SCUBA-diving injuries, the life-saving preparations of water-related disasters and how to deal with forensic investigations. In this updated second e…
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Other Authors
Bierens, Joost J.L.M
Responsibility
Joost J.L.M. Bierens, editor
Edition
Second edition
Place of Publication
Berlin, Heidelberg
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xxxviii, 1269 p. : 192 illus., 120 illus. in color)
ISBN
9783642042539
9783642042522 (print ed.)
Subjects (MeSH)
Drowning - prevention & control
Near Drowning - therapy
Rescue Work - methods
Resuscitation - methods
Abstract
Since the first edition of the Handbook on Drowning in 2005, many epidemiological data have confirmed the burden of drowning in several parts of the world. Studies have increased the understanding of effective drowning prevention strategies, rescue techniques, and treatment options. Much has been learned about submersion and immersion hypothermia, SCUBA-diving injuries, the life-saving preparations of water-related disasters and how to deal with forensic investigations. In this updated second edition, experts from around the world provide a complete overview of current research data, consensus statements and expert opinions. The book Drowning provides evidence-based practical information and has a unique informative value for various groups with tasks, duties and responsibilities in this domain. In addition, the book may be an inspiration for future networks and research initiatives.
Contents
Introduction -- History -- The Epidemiology of Drowning -- The Prevention of Drowning -- Rescue Organisational Aspects: Planning, Training and Preparation -- Rescue Techniques -- Resuscitation -- Hospital Treatment -- Brain Resuscitation in the Drowning Victim -- Immersion Hypothermia -- Water-related Disasters -- Breath-hold, SCUBA and Hose Diving -- Investigation of Drowning Accidents -- Important Websites.
Format
e-Book
Location
Online
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ABC of prehospital emergency medicine

https://libcat.nshealth.ca/en/permalink/provcat31299
edited by Time Nutbeam, Matthey Boylan. --Chichester, West Sussex, UK: Wiley-Blackwell/BMJ Books , c2013.
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This brand new title in the ABC series provides a comprehensive overview of pre-hospital medicine, including transport, patient assessment, emergency care systems, and pre-hospital interventions.With pre-hospital care being the start of the "trauma chain", the treatment patients receive on-scene as well as en-route can be life-saving, and this new title is invaluabe for all staff involved in emergency and pre-hospital medicine.
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Other Authors
Nutbeam, Tim
Boylan, Matthew
Responsibility
edited by Time Nutbeam, Matthey Boylan
Place of Publication
Chichester, West Sussex, UK
Publisher
Wiley-Blackwell/BMJ Books
Date of Publication
c2013
Physical Description
215 p.
Series Vol.
258
Series Title
ABC series
ISBN
9781118592281 (PDF ebook)
Subjects (MeSH)
Emergency Medical Services - methods
Emergency Medicine - methods
Abstract
This brand new title in the ABC series provides a comprehensive overview of pre-hospital medicine, including transport, patient assessment, emergency care systems, and pre-hospital interventions.With pre-hospital care being the start of the "trauma chain", the treatment patients receive on-scene as well as en-route can be life-saving, and this new title is invaluabe for all staff involved in emergency and pre-hospital medicine.
Contents
1. Activation & Deployment of Pre-hospital Services -- 2. Scene safety and assessment -- 3. Motor Vehicle Collision Extrication -- 4. Personal Protective Equipment -- 5. Monitoring in Prehospital Care -- 6. The Role of Pre-hospital Ultrasound --7. The Primary Survey -- 8. Airway Assessment & Management -- 9. Breathing Assessment & Management -- 10. Circulation management -- 11. Analgesia And Procedural Sedation --12. Emergency Anaesthesia -- 13. Cardiac Arrest and End of Life Decisions --14. Head Injury --15. Spinal Injuries -- 16. Abdominal Trauma 1-- 17. Pelvic Trauma -- 18. Extremity Trauma -- 19. Management of burns -- 20. Crush Syndrome & Suspension Trauma -- 21. Ballistic & Blast Trauma -- 22. Medical Emergencies -- 23. Environmental Injuries -- 24. Environmental Emergencies - High Altitude Illness -- 25. Drowning, Near Drowning and Immersion Syndrome -- 26. Diving incidents -- 27. Pregnancy and Childbirth -- 28. Prehospital Management Of The Paediatric Patient Fiona -- 29. The Elderly Patient -- 30. Prehospital Management of the Bariatric Patient -- 31. Retrieval and Transport -- 32. Mass Gatherings -- 33. Mass Casualty -- 34. Chemical, Biological, Radiation and Nuclear (CBRN) Incidents -- 35. Clinical Governance -- 36. Medicolegal & ethical -- 37. Research and Future Development -- Index.
Format
e-Book
Location
Online
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Essentials of autopsy practice : innovations, updates and advances in practice

https://libcat.nshealth.ca/en/permalink/provcat32285
Guy N. Rutty, editor. --London: Springer , c2013.
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Essentials of Autopsy Practice: Innovations, Updates and Advances in Practice is the fifth volume in the Essentials in Autopsy Practice series, covering topics of current and future interest. Designed to keep all involved in the investigation of death abreast of changes within the field, this volume covers a wide range of topical areas which can be encountered around the world. Essentials of Autopsy Practice: Innovations, Updates and Advances in Practice covers death by drowning; deaths from e…
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Other Authors
Rutty, Guy N
Responsibility
Guy N. Rutty, editor
Place of Publication
London
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (x, 174 p. : 47 ill., 36 ill. in color)
Series
Essentials of Autopsy Practice
ISBN
9780857295194
Subjects (MeSH)
Autopsy
Subjects (LCSH)
Forensic Medicine
Pathology
Abstract
Essentials of Autopsy Practice: Innovations, Updates and Advances in Practice is the fifth volume in the Essentials in Autopsy Practice series, covering topics of current and future interest. Designed to keep all involved in the investigation of death abreast of changes within the field, this volume covers a wide range of topical areas which can be encountered around the world. Essentials of Autopsy Practice: Innovations, Updates and Advances in Practice covers death by drowning; deaths from extreme temperature; the radioactive autopsy; chemical contamination and the autopsy; blast injuries; forensic odontology identification; and determination of the force used to cause an injury. Useful to both trainees and consultants in all specialty areas within pathology, including forensic pathology, Essentials of Autopsy Practice: Innovations, Updates and Advances in Practice also serves as a guide to all those involved in death investigation, i.e. nurses, lawyers, paramedics and police officers.
Contents
Diatom and Laboratory Tests to Support a Conclusion of Death by Drowning -- Deaths from Extremes of Temperature -- The Radioactive Autopsy -- Chemical Contamination and the Autopsy -- Blast Injuries -- A Pathologists Guide to Forensic Odontology Identification -- How Much Force? -- Erratum -- Index.
Format
e-Book
Location
Online
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Handbook on Drowning : Prevention, Rescue, Treatment

https://libcat.nshealth.ca/en/permalink/provcat28323
edited by Joost J. L. M. Bierens. --Berlin, Heidelberg: Springer-Verlag , c2006.
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Online
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Author
Bierens, Joost J. L. M
Responsibility
edited by Joost J. L. M. Bierens
Place of Publication
Berlin, Heidelberg
Publisher
Springer-Verlag
Date of Publication
c2006
ISBN
9783540296560
Subjects (MeSH)
Drowning - prevention & control
Near Drowning - therapy
Resuscitation - methods
Rescue Work - methods
Subjects (LCSH)
Emergency medicine
Format
e-Book
Location
Online
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Ethical dilemmas in pediatrics : cases and commentaries

https://libcat.nshealth.ca/en/permalink/provcat27214
edited by Lorry R. Frankel ... [et al.]. --Cambridge, UK: Cambridge University Press , 2005.
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Author
Frankel, Lorry
Responsibility
edited by Lorry R. Frankel ... [et al.]
Place of Publication
Cambridge, UK
Publisher
Cambridge University Press
Date of Publication
2005
Physical Description
ix, 303 p.
ISBN
6610160589 (electronic bk.)
Subjects (MeSH)
Pediatrics - ethics
Ethics, Clinical - child
Contents
Cover -- Half-title -- Title -- Copyright -- Contents -- Contributors -- Preface -- Introduction -- Pediatric medicine -- Medical ethics, clinical ethics, bioethics -- Ethical approaches to clinical issues -- Structure of the book -- Part I Therapeutic misalliances -- 1.1 Unconventional medicine in the pediatric intensive care unit -- Introduction -- The case -- Discussion -- Conclusion -- 1.2 Role responsibility in pediatrics: appeasing or transforming parental demands? -- Introduction -- Treating Ericka when the moon turns full -- Unconventional treatment -- Cultural differences -- Method and substance -- Principle and background -- Acknowledgments -- 1.3 Topical discussion -- Alternative or complementary medicine -- Cultural sensitivity -- Ethical principles -- The "case" method -- Further reading -- 2.1 The extremely premature infant at the crossroads -- Case: Baby Girl M -- Follow-up -- 2.2 The extremely premature infant at the crossroads: ethical and legal considerations -- Introduction -- The role of the law -- Baby Girl M at the crossroads -- Toward better decisions -- Conclusion -- Acknowledgments -- 2.3 Topical discussion -- The paradoxical neonate -- Acting for the best in the face of uncertainty -- Relation of law and ethics -- Communication and documentation -- Further reading -- 3.1 Munchausen syndrome by proxy -- Introduction -- Case report -- Legal and ethical issues -- Conclusion -- 3.2 Some conceptual and ethical issues in Munchausen syndrome by proxy -- Introduction -- Conceptual issues -- Ethical issues -- Summary -- Acknowledgments -- 3.3 Topical discussion -- Munchausen syndrome by proxy (MSBP) -- Trust: confidentiality and disclosure -- Covert surveillance: privacy versus care -- Family reunification -- Further reading -- Part II Medical futility -- 4.1 Letting go: a study in pediatric life-and-death decision making -- Introduction -- The case of JM -- Discussion -- Conclusion -- Further reading -- 4.2 Near-drowning, futility, and the limits of shared decision making -- Introduction -- Three models of clinical decision making -- Ethical and legal considerations in shared decision making -- Decision making in context -- A recommended approach -- When family and physician disagree -- Acknowledgments -- 4.3 Topical discussion -- Futility -- Quality of life -- Family authority -- Shared decision making -- Further reading -- 5.1 Long-term ventilation in a child with severe central nervous system impairment -- The case -- Discussion -- 5.2 Autonomy, community, and futility: moral paradigms for the long-term ventilation of a severely impaired child -- Introduction -- Principle-directed and case-based moral reasoning -- Values relevant to ventilating -- Conclusion -- 5.3 Topical discussion -- PVS -- Standards for decision making -- Cost as a factor in ethical decision making -- Methodology and cases -- Further reading --tidtid160
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